This report documents and presents the results of a study to develop a framework for evaluating the efficiency and effectiveness of selected specialized transportation programs. The research focuses on developing potential performance measures that evaluate services resulting from these programs based on available data and opportunities for additional data to be reported or collected. Often the traditional transit service standards and performance measures cannot be applied directly to the specialized transportation programs because these programs cater to the mobility needs of transit-dependent groups (elderly, low-income, and people with disabilities) and sometimes operate in large areas with low population densities, in the reverse peak direction, and during off-peak hours. To meet these objectives, study tasks included a literature review, case study interviews, and data collection and wrap-up interview analysis. This Final Report presents the findings of these tasks in order to assist states and grantees in identifying appropriate measures to evaluate the efficiency and effectiveness of specialized transportation programs.